Dr Thomas L Miller, MD | |
1310 Las Tablas Rd, Suite 103, Templeton, CA 93465-9737 | |
(805) 461-7080 | |
(805) 464-0243 |
Full Name | Dr Thomas L Miller |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1310 Las Tablas Rd, Templeton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750355152 | NPI | - | NPPES |
00G564900 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G56490 (California) | Primary |
Entity Name | Pueblo Radiology Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871549899 PECOS PAC ID: 6901708668 Enrollment ID: O20040122001107 |
Entity Name | California Managed Imaging Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20080528000575 |
Mailing Address | Practice Location Address |
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Dr Thomas L Miller, MD Po Box 2920, Atascadero, CA 93423-2920 Ph: (805) 461-7080 | Dr Thomas L Miller, MD 1310 Las Tablas Rd, Suite 103, Templeton, CA 93465-9737 Ph: (805) 461-7080 |
Elizabeth Michelle Vogler, MD Radiology Medicare: Medicare Enrolled Practice Location: 262 Posada Ln, Ste C, Templeton, CA 93465 Phone: 805-434-1491 Fax: 805-434-4997 | |
Dr. Arthur C. Duberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 Las Tablas Rd, Suite 103, Templeton, CA 93465 Phone: 805-461-7080 Fax: 805-464-0243 | |
James F Longo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 274 Heather Ct, Templeton, CA 93465 Phone: 805-434-1859 Fax: 805-434-2383 | |
Dr. William M. Russell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 Las Tablas Rd, Suite 103, Templeton, CA 93465 Phone: 805-461-7080 Fax: 805-464-0243 | |
Daniel Young Shin, MD Radiology Medicare: Medicare Enrolled Practice Location: 262 Posada Ln, Ste C, Templeton, CA 93465 Phone: 805-434-1491 Fax: 805-434-4997 | |
Dr. Erik M. Olson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 Las Tablas Rd, Suite 103, Templeton, CA 93465 Phone: 805-461-7080 Fax: 805-464-0243 | |
James Poole Cartland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 262 Posada Ln, Suite C, Templeton, CA 93465 Phone: 805-434-1494 Fax: 805-434-4998 |